Neurosciences validate Gestalt - Lecture in English, with translation in Spanish
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IXe International Convention of Gestalt Therapy Madrid (Spain), 30 April 3 May 2009 (700 participants from 25 countries) Lecture in English, with translation in Spanish Neurosciences validate Gestalt Therapy by Serge Ginger Psychologist; Psychotherapist, trained in Psychoanalysis, Gestalt and EMDR Founder of the Paris School of Gestalt (École Parisienne de Gestalt, or EPG) and of the International Federation of Gestalt Training Organizations (Fédération Internationale des Organismes de Formation à la Gestalt, or FORGE) Professor of Neurosciences at the Sigmund Freud University (Paris) General Secretary of the Fédération Française de Psychothérapie et Psychanalyse (FF2P) President of the European Training Accreditation Committee (TAC) for Training Institutes for Psychotherapy,of the European Association for Psychotherapy (EAP). Introduction I have only one hour to convince you that the brilliant intuitions of our forefathers and the founders of body therapies, and particularly Gestalt Therapy, are currently confirmed and validated by important discoveries in the area of the neurosciences over that past twenty years. One hour is enough time to develop this evidence – even though it is still often unknown! We will see why the body therapies are found to be more profound, faster and more efficient than psychotherapies which are essentially verbal, such as psychoanalysis, traditional transactional analysis, or NLP… In fact, all contact or movement of the body mobilizes the right hemisphere of the brain, which is directly connected to the profound limbic zones of the emotional brain – through the “perforant pathway”, an original synaptic connection — which has no equivalent in the left brain (which is verbal and rational). All emotion is accompanied by the production of specific neurotransmitters (of which we are currently able to identify around a hundred) which modulate mood and thought. Most of the neurotransmitters circulate within the brain and inside the body of each person, but some of them are diffused outside, into the environment of the organism, and thus they “touch” those nearby, especially the psychotherapist: I am speaking about the famous pheromones – which constitute our very real “6th sense,” the chemical sense, one of the elements of what we so often call “intuition”. Our 6th sensory organ, the VNO (VomeroNasal Organ) is invisible to the naked eye; it is situated deep within the nose; it is responsible for receiving these pheromones (which translate our deep moods); it is totally separate from the olfactory channels, it is odorless, and
Les neurosciences valident la Gestaltthérapie. Serge GINGER, Madrid, mai 2009 Page 2/12 has no direct connection with the cortical zones of our conscious brain. Its information is therefore totally unconscious and directly touches our profound nonverbal sensitivities. I will also stress the importance and the role of the a posteriori verbalization of the senses — which allows the cerebral registration (« engramming ») of the lived experiences, and therefore their later opportunity to make the most of them. It’s a bit similar to the importance of giving a title to a document, once we have finished working on our computer, in order to keep a trace and to be able to find it again to continue working on it. In the same way, verbal work is not in itself a therapeutic work, but a point of reference, a type of labeling. Certainly, speech may trigger an emotion and therefore the neuronal modifications: the sprouting of dendrites, new synaptic connections, production of neurotransmitters or hormones… In this case, we may say that “The Word was made Flesh”: the word has been incarnated and has produced an effect which is potentially lasting. But most of the time, in everyday experience, the process is opposite: it’s the emotion which appears spontaneously first; this becomes conscious and is verbally expressed only later. In fact, in our body and consciousness functioning, everything is circular and systemic; biological, psychological and social interrelationships are permanent and operate in both directions: appetite makes me salivate… and the saliva sharpens my appetite; a caress or a massage stimulates the production of oxytocin… and oxytocin develops my need for attachment, tenderness, understanding, trust and love. **** Freud himself wrote, as early as 1920: « Biology is truly a domain with unlimited possibilities: we can expect to receive the most surprising information from it, and we cannot imagine all the answers it will give within a few decades to the questions we ask. It is possible that these answers will totally destroy the whole artificial building of our psychoanalytical hypotheses!” Later, Reich, went on with his research of the psychophysiological expressions of biochemical and cosmic energy and emphasized the connections between neurovegetative regulation, sexuality and psychopathology. We should remember, in passing, that the first psychoanalysts were mostly medical doctors, trained in biology. « Several decades » have passed: where are we today? Today, we are witnessing the progressive development of new disciplines… in the United States and, little by little, in Europe: neuropsychoanalysis and the social neurosciences.1 I will now enter a bit more into detail regarding contemporary research, using especially the resources of MRI (magnetic resonance imaging), which permits us to see in the scanner the activity of difference regions of the brain, in real time, and I will quote several concrete examples to illustrate the value of the study of the neuroscience for an optimal exploitation of psychotherapeutic techniques. These research studies have revealed a number of aspects regarding the functioning of 1 Jean Decety, French researcher, Professor in Chicago.
Les neurosciences valident la Gestaltthérapie. Serge GINGER, Madrid, mai 2009 Page 3/12 the brain, which were hardly known before, although often intuited by several forerunners, such as Freud, Fenichel, Ferenczi, Reich, Navarro or Perls — who proposed a global, holistic approach, integrating the five main dimensions of the human being: physical, emotional, cognitive, social and spiritual. I will mention, for example, the fact that the myelination of the connecting circuits of the frontal lobes, which allows the integration of information about the internal state of the organism and of its environment and therefore, an appropriate decisionmaking, is not completely developed before around 25 years, contrary to what we had previously supposed. This would explain the somewhat impulsive behavior of adolescents, whose (limbic) emotions are not sufficiently controlled by the corticalfrontal level (conscious and voluntary). We encounter the same type of immaturity or neuronal dysfunction in autistics, and even in cases of borderline personalities: their amygdala is hypersensitive to all stress, while their frontal connections are, on the other hand, inhibited – not allowing for a healthy management of mood, and leading to actingout behavior. Psychocorporal treatment, which directly mobilizes the limbic subcortical structures, has proven to be particularly effective, especially with these categories of clients (adolescent and borderline). Is Psychotherapy an unsuspected « chemicaltherapy »? Recent studies in the neurosciences allow us to realize that in fact, all learning – or all psychotherapy – acts directly on the synaptic circuits and modifies in a parallel manner the internal biochemistry of the brain: the production of hormones and neurotransmitters (especially dopamine, serotonin, adrenalin, noradrenalin, melatonin, endorphins, testosterone, estrogens…). This is particularly true for psychotherapy using body and emotionbased techniques – such as Gestalt Therapy… but this is under the condition that they are followed by a period of verbal integration – without which, the misplaced activation of emotions, or a strong catharsis triggered by clumsy “debriefing” techniques, on the contrary, could maintain or even increase previous remnants of trauma, through a negative neuronal conditioning. Three historical stages Several years ago, we willingly opposed chemotherapy and psychotherapy: traditional psychiatrists smiled condescendingly at the claims of psychoanalysts and psychotherapists, and considered their methods to be “popular distractions”; they trusted only medicines which had been properly authorized by the laboratories after “doubleblind” tests, and comparison to placebos. After the revolution of antibiotics in infectious medicine, came the neuroleptic revolution in brain medicine: finally, a series of molecules which act directly on the brain and affect behavior (tranquilizers, antidepressants, stimulants, antipsychotic or neuroleptics). In 1952, the French Pr Henri Laborit introduced a new psychotropic product (which affects the psychic system), largactil (chlorpromazine), which permitted the progressive suppression of the straightjacket in psychiatric hospitals, replacing it with what is called (not without some exaggeration) “the chemical straightjacket.” We know that France now holds the very sad world record for the use of psychotropic medicine (we currently consume 3 times more than our close neighbors: Germany, England, Italy or Spain): Temesta has become our “psychic aspirin”, and 1.5 million of our fellow
Les neurosciences valident la Gestaltthérapie. Serge GINGER, Madrid, mai 2009 Page 4/12 citizens today consume Prozac. These new drugs, as efficient as they may be, are not free from regrettable secondary effects: drowsiness, loss of initiative, memory lapses, important lowering of the libido… even suicide – notably in the case of unplanned interruption of a treatment by a young person (whose frontal circuits of control are still immature.) In a second stage, instead of opposing chemotherapy and psychotherapy, they were associated: psychotherapy in fact allows for a lengthening and expanding effect of a medical treatment and a progressive diminishing of the dosage; whereas, on the other hand, chemotherapy allows for a preparation, accompaniment or lengthening of a psychological approach, by calming the anxiety or stopping the delirium. But today we are entering into a third phase: no longer opposition, nor a simple complementary association, but the identity of a process with two faces: we are realizing that finally certain psychotherapies are unsuspected “chemotherapies”. In fact, their action stimulates neurophysiologic and biochemical modifications, both rapid and lasting (in “priming the pump”). With the major advantage that they are strictly personalized and dosed spontaneously by the organism – and this, sometimes within a microgram, just as our organism endlessly controls the level of sugar in the blood, vitamins or Omega 3, or even iron or zinc (without which we would have no sense of smell). A subtle and personalized biochemistry Thus, for example, the injection of a microgram of oxytocin (the hormone that helps the milk arise, which has been baptized as the hormone of attachment – even, of love) is enough to instantly induce a maternal behavior in a female (rat or sheep)2. We know today that this oxytocin is produced not only during childbirth, but also at each physical contact, and especially during a psychocorporal session, a massage, during the caress of a baby, or of course, during a love relationship. No administration of an external drug can possibly adapt to the subtle and permanent variations of hormone doses of each patient: each meal, and even each emotion, modifies this balance. Let us remember, for example, that all success (love, sports, social or intellectual) may instantly double the amount of testosterone in the blood; whereas an orgasm multiplies… by four times the amount of testosterone and endorphin3! This sudden influx of testosterone explains the behavior – sometimes quite surprising – of football players who score a goal, and who “jump” upon each other, in a spontaneous, erotic burst of enthusiasm, or even more, the winners of the Formula 1 automobile race, who, in their sexual excitement, open a bottle of Champagne… to “ejaculate” rather than to drink! Let’s remember that testosterone is the responsible for both aggressiveness and sexual desire – also in women. That is why I call it the “conquest hormone” in both senses, love conquest and military conquest. These two basic life impulses – and youth (survival of the individual and survival of the species) are very linked, they brush each other at the hypothalamus, they are just separated by some millimeters… between the aggressiveness area and the sexuality area (it is the area where pleasure is managed!). In Gestalt Therapy this proximity is sometimes used, for instance, to develop a weakened sexuality through ludic aggressiveness – easier to manage within the respect to professional ethics! And now, two little experiments… And now we can do a little bit of practice: … I invite you to elevate my testosterone 2 But if a sheep gives birth under the influence of an epidural, it will not be interested in its offspring (Michel Odent, 2008) — which is not the case for a woman, who compensates for the anesthesia by her mental interest. 3 Neurotransmitters of wellbeing and selfanesthesia.
Les neurosciences valident la Gestaltthérapie. Serge GINGER, Madrid, mai 2009 Page 5/12 rate!… (… Silence… expecting applause)… Thank You! Now is my turn to propose you a selfinjection (painless) of dopamine… (Silence)… Now it is done! My silence — unexpected — has stimulated your curiosity, and during this fraction of a second of waiting and surprise, you have produced dopamine, the wake up, awareness, and awakening neurotransmitter. But now, we reach the moment to be calm! Actually I just gave you a new shot; but this time is about serotonin, the neurotransmitter which give back the order. Lead by the rational explanations that I am giving you. In conclusion, we lead a therapeutic interview like we drive a car: constantly stepping the brake and the accelerator pedals (serotonin and dopamine). Today there have been insulated around one hundred of these neurotransmitters and neuromodulators; for example, every desire (hunger, thirst, sex) and every pleasure (artistic or intellectual included) is related with three neurotransmitters: • the dopamine, associated to the desire’s tension; • the noradrenaline, related to the stimulation of the shared pleasure; • the endorphins, that entails wellbeing and rest. If we do two blood tests — one of them after 5 minutes of optimistic fantasy (positive visualization, as suggested by Dr Simonton) — we check an average elevation of… 53% of the immune system! Recently in the United States, they have succeeded to film, with different techniques of brain imagery, modifications, visible and lasting, of the neural circuits trough the repeated stimulation of the neural network (the “sprouting”) caused by a psychotherapy with patients with obsessivecompulsive disorder. In a parallel way, it can be stated, of course, a clear modification in the behavior seen, and in the subjective experience of the patients, after they have been treated with a chemotherapeutic treatment. So, both of these approaches aren’t concurrent but complementary; so to say interchangeable, the matter acts over the mind, and the mind acts over the matter, in a systemic and circular way. Now, I have 20 minutes left to say some words about three topics: • inherited and acquired (the part of heredity); • neurophysiology of dreams; • sex and the brain (gender identity). Inherited and acquired (genetics and plasticity) It happens the same with the eternal false problem of the innate and the acquired — that is directly concerned to us, as psychotherapists: what is the sense in making efforts in order to develop aptitudes or to modify behaviors or feelings, if everything is predetermined by our hereditary aptitudes? In spite of all the democratic ideologies that pretend to calm us, it is unquestionable that we are not born as equals: there are tall and shorts, blondes and dark haired, blacks and whites, and persons more intelligent than others, for mathematics, sports or music. So then, is everything determined in birth? Fortunately, No! We are neither prisoners of our genes… nor completely free! Approximately, the researchers actually consider that our character can be divided in
Les neurosciences valident la Gestaltthérapie. Serge GINGER, Madrid, mai 2009 Page 6/12 three thirds basically, and this is the way is supposed to be: • 1/3 inherited: chromosomes from the cell’s nucleus (our DNA); • 1/3 acquired: cultural immersion, education, exercise or training, fortuitous events… or psychotherapy; • 1/3 congenital, so to say, acquired during the first weeks or months of the intrauterine live; so as an example, the embryo is feminine during the first days4, and masculinity is a slow hormonal conquest, continued through educative and social action. In reality, the girl is not a boy that has lost his penis (as Freud had supposed), but the boy is a girl that has obtained a penis. (the “penis envy” is a hypothesis not verified by the experience: so, among transsexuals, are found today… five more times men desiring to become women, than women desiring to become men! The “envy of an uterus” is much higher than the envy of a penis!). During a war, the rate of masculine homosexuality doubles itself (due to the mother’s stress that perturbs her hormone’s balance during pregnancy)5. The inherited and congenital parts seem, as a matter of fact, quite important: so as an example, in the real twin children (homocigotics), if one of them is homosexual, the other twin also is homosexual in 60 % of the cases, in the false twin children (heterocigotics), it only happens in 30 % of the cases, so it is half as frequent (although 5 more times than in general population). For many aptitudes or predispositions — as intelligence, talents for music, sports, and even optimism6 — we again find this three thirds (inherited, acquired in the uterus, and acquired during life), in slightly different proportions. So, in a same event, each one of us “sees the bottle half full or half empty”… In any case, they are only predispositions, that can be either developed or inhibited by education or by psychotherapy — which favor or neutralize the gene´s expression in the appearance of proteins (as Eric Kandel discovered, being a Nobel Price, professor of the New York University; at his eighty, he is still researching… as I am doing, too!). So therefore, what is inherited is not a “misfortune”! It is important to highlight, at the same time, that a growth of 20 % would eventually transform a normal size man (1,85 m) in to a giant (2,20 m), or a good runner into a real champion. Psychotherapy can also help to transform a deep depressive person into a slightly depressive… or even, into a happy man! This fundamental plasticity of the brain endures our whole life, until an advanced age: therefore it has been recently confirmed throughout brain image techniques, that the cortex’ surface representative of the left hand usually keeps on growing in the violinist, and special orientation areas grow twice as big in the London’s taxi drivers. (London is famous for the complexity of its traffic). Among the new therapies, the EMDR, exploits directly this plasticity, modifying very fast certain neural networks and the neurotransmitter´s production. Neurophysiology of the dream As we have evoked, with the EMDR, the rapid eyes movement that characterize the 4 MAGRE S. et VIGIER B. (2001) MAGRE S. et VIGIER B. (2001) Développement et différenciation sexuelle de l’appareil génital, in La reproduction chez les mammifères et l’homme. Paris : Ellipses. L’émergence du mâle débute vers la 7e semaine. « La forme fondamentale de l’espèce, c’est la femelle » in DURDENSMITH J. & DESIMONE D. (1983). Sex and the Brain. 5 DURDEEN (1983) y LE VAY (1994). 6 Cfr. A well known study about twins and the Works of LYKKEN y TELLEGEN (Minnesota University).
Les neurosciences valident la Gestaltthérapie. Serge GINGER, Madrid, mai 2009 Page 7/12 paradoxical sleep (or dreaming), let´s take a fast look to the neurobiology of the dream. The psychoanalytic approach was the dominant one between 1900 and 1960, but it is no longer that way actually, most of all after the research of the French Professor Michel Jouvet. Today we know that Freud was partially wrong: the fetus starts having dreams in the uterus, after the seventh month of pregnancy; therefore, a lot before having any conscious memories to repress, “censured” by the Super Ego, as it was Freud´s old hypothesis. In this way, the newborn continues to construct his brain during 60 % of the time. On the other hand, the pregnant woman doubles her dreams time in order to “accompany” the neurogenesis of her child. It is not excluded that one part of these dreams allows the unconscious transmission of her emotional experiences (which can be modulated by a psychocorporal therapy), thanks to a precocious register during the long periods of shared dreams (Ginger, 1987). Not only has the fetus dreamed, but all superior animals too. The cold blooded animals (fishes, reptiles) never dream, but their nervous system regenerates during their life. There is a permanent neurogenesis, renewing the neurons, as the other more “vulgar” cells of its organism. This way they remain reduced to the innate instincts, and aren´t able to acquire or accomplish complex learnings. During the dream period, the animal is particularly vulnerable: it is transitory blind, almost deaf and paralyzed. No wonder then, that dreams first need a sense of security. In this way, cows dream even three more times in the stable than in the fields! And big predators, secure about themselves, allow themselves to dream during 40 % of the time they spend sleeping, while the poor persecuted animals, only dare to consecrate 5 % of its sleep time to dreams. Men and women dream as an average, during 20 % of the time they remain asleep (which places us between the predators and the victims!); so to say, around 100 minutes each night, and this, whether we remember it or not. It is known that everybody dreams… but eight minutes after being awake, 95 % of the dreams content is already forgotten! Dreaming is different from sleeping and from wakefulness, and implies a great brain activity: during dreams, we consume the same amount of glucose than in the wakeness state… what explains that we can lose weight when we dream (as much as when we practice jogging!). In fact, 2/3 of the right brain is mobilized, at a hypothalamic level (needs), limbic (feelings and memory), cortical (images) and frontal (synthesis, projects, visions) and the communication with the left brain (rational verbal analysis, logical critic) is cutted. On the contrary, the communication between both hemispheres remains while we are asleep without dreaming. The dreams have been baptized as “the umbilical cord of the specie”: it transmits, as a matter of fact, the fundamental behavior that are necessary for our survival; they enrich and actualize them by registering the acquisitions of the experience of every day, allowing in this way “the individuation” and the construction of the personality, which is the sum of the innate and the acquired. It is during the dream process that our memories are fixated — not only the information that I am giving to you now, but most of all the memories that are filled with emotions, the important experiences, positive or negative of our lifes… and specially the therapy sessions.
Les neurosciences valident la Gestaltthérapie. Serge GINGER, Madrid, mai 2009 Page 8/12 A rat that is not able to have dreams loses most of its capacity of learning. It happens the same with patients that are treated over long periods of time with neuroleptics or antidepressants, that diminish — and sometimes suppress — the time of dreams. A long term deprivation of dreams usually helps the apparition of compensatory delirious, with sexual7 or aggressive aspects and bulimic tendencies. So dreams accomplish two opposite — while complementary — functions: • As an “umbilical cord of the species”, the dreams nourish our origin, examine every night our genetic program and evaluate the survival functions (sexuality and aggressiveness): cats dream with hunting and attacks, while mousses dream with escapes and little holes!… And men (and also women) dream with the sexuality. The dreams therefore play a role of “shield against culture” — while our education is opposed to this two vital drives! • But dreams are, at the same time, an important “individuation” factor (that what makes me different from the others), because they consider my original experience. As a result, dreams will allow the integration of my individual memory with our collective memory, assuring therefore an essential function of synthesis between the innate and the acquired. The Sex and the Brain Social neurosciences have underlined that natural selection progressively “sculpted” our genome, in order to make it sensitive to the contact and relationships with our pairs. Empathy exists already in the mammals: rats are predisposed since they are born to feel the sadness of their partners, and modulate their behavior in order to protect their congeners. This attention to the other is more developed on the females8. You undoubtedly know, that it has been proven that men and monkey share a genetic patrimony of 98,4 % in common, what only leaves us 1,6 % of difference… against approximately 5 % of genetic difference between woman and men. So, a human male is psychologically closer to a monkey male, than to a woman!… (and of course, women are closer to monkey females!). Actually all of the neurosciences researchers agree in considering that: • The left brain (which is logic, scientific, and most of all verbal) is more developed in women, as well as the “pituitary gland” (that allows memorization) • And the right brain (analogic, artistic and emotional) is more developed in men — against what is believed by the general opinion (some of the present therapists included!). And this happens under the direct influence of testosterone. In the same way, the amygdala of the males is more important and reactive to strong emotions, like fear and rage. The right hemisphere deals with the space, the here and now and the group´s membership, so valuable in body therapies; while the left hemisphere deals with linear time (past and future), the separation from the environment and the Ego boundaries, studied more in verbal therapies. So women are more prepared to verbal interchange, communication, collaboration, and empathy, while men are focused in competition and action. This of course is only valid 7 Actually we know that physiology sexual excitement go before every dream (about 2 minutes) and it any age, both sex and independently of dream content… 8 A rat presses a pedal to obtain food. When she realizes that it is producing electric shocks in a cell partner, she prefers not to eat, instead of making her partner suffer.
Les neurosciences valident la Gestaltthérapie. Serge GINGER, Madrid, mai 2009 Page 9/12 on the statistic point of view, because there are some exceptions, even in this place! There are, of course, tall women and short men! But is not a general reality! These differences are related to social education and to biology, and they have been developed step by step, over the two million years of natural selection, since the prehistoric men ran in silence at war and in hunting, while women remained in the cave, educating children, and talking with them! At nine years old, girls, represent as an average, 18 months of verbal advantage over boys. In adults, women talk around 20 minutes per telephone call… compared to 6 minutes of men! The woman needs to share her ideas, her feelings, her emotions, while man controls and retains them: he transmits information, and is looking for solutions very fast… And then woman feels “unheard”! As a summary, the woman is less emotional than man, but expresses more each one of her emotions, while the man is really more emotional, but doesn´t express his emotions, and this is very important not to forget about, in private life and in psychotherapy! • We point out, also, that the number of women that receive therapy, (and also that are therapists) is 3 times superior to men — as we can see in this hall. • The fashion of the “new fathers”, who put on the diapers to the babies, leads them to produce a lot more of oxitocyn (which makes them sweeter persons… but reduces 33 % their rate of testosterone! Today we are witnessing a fast demasculinization of men, under the combined influences from biological, ecological, cultural and social factors. On top of that, chemical pollution, and most of all, the invasion of plastic materials, stimulates the estrogens 9. As a conclusion the spermatozoid production has been reduced… one half in 30 years! Let us remember, to end this brief explanation, that: The “engramation” of a memory (it´s inscription in the neural circuits) implies a “warmingup” of the limbic system (our profound brain) trough an emotion: therefore the effectiveness of the emotional and body psychotherapies. • The remembrance of a scene, real or imaginary, shows the same brain location, and generates the same mental process in both cases. In reality, every memory is rebuild partially and unconsciously in each one of its evocations, from desires or fears, not always conscious. This leads us to deal with a lot of prudence the sexual abuse memories on the first part of childhood, very often awakened by the body approaches that allow a physical contact: today it is estimated around 40 % of false memories! **** The end It is a shame, but I have to finish now: time has come inexorable! So I am going to end, like in television, with a commercial advertising: there have been published around two hundred books about neurosciences, and hundreds of articles, during the last years, especially since “the brain decade” (19801990). As you won´t have the time, nor the courage, to read them, I have done it for you, and I have summarized, in my books named: “Gestalt, The Art of Contact” (in Spanish: Gestalt, el arte del contacto or La Gestalt, una terapia de contacto), in 40 pages, 40 000 pages of studies about the brain, (200 books of 200 pages); so, each page of my book summarizes around… 1,000 pages of erudite texts, written in a simple and accessible language, and illustrated with metaphors. 9 (Tsutsumi, 2005 ; Welshons, 2006 ; Lucy Vincent, 2007).
Les neurosciences valident la Gestaltthérapie. Serge GINGER, Madrid, mai 2009 Page 10/12 This will allow you to continue and to digest this lecture… at your own rhythm… And now, time has come for my second dose of testosterone… Thanks for your attention, Serge GINGER
Les neurosciences valident la Gestaltthérapie. Serge GINGER, Madrid, mai 2009 Page 11/12 Brief bibliography (in French) • Cyrulnik B. Les nourritures affectives. Paris. Odile Jacob. 1993 (246 p) • Cyrulnik B. De chair et d’âme. Paris. Odile Jacob. 2006 (260 p) • Damasio A. L'erreur de Descartes. Paris. Odile Jacob. 1995 (370 p) • DurdenSmith & Desimone, Le sexe et le cerveau. Montréal. éd. La Presse. 1985 (270 p) • Ginger S., La Gestalt, l’art du contact. Paris. Marabout. 95. 10e éd. 07 (290 p). (Published in 14 languages). • Ginger S. & A., Guide pratique du psychothérapeute humaniste, Dunod, Paris, 2008 (256 p). • Jouvet M., Le sommeil et le rêve. Paris. Odile Jacob. 1992 (220 p.) et coll. Poche Points • Kimura D. Cerveau d’homme, cerveau de femme ? Paris. Odile Jacob. 2000 (250 p) • Kolb B. & Whishaw Q. Cerveau et comportement. Bruxelles, De Boeck, 2008 (1000 p) • Le Vay S., Le cerveau atil un sexe ? Paris. Nlle. Biblioth. scient. Flammarion. 1994 (230 p) • Perls F, Manuel de Gestaltthérapie, ESF, Paris, 2003 (128 p) ; 2e édition : 2005. • Rossi E. L. Psychobiologie de la guérison. Paris. Hommes et perspectives. 1994. (450 p.) • Vidal C., Cerveau, sexe et pouvoir. Paris, Belin, 2005 (112 p) • Vincent J.D. Biologie des passions. Paris. Odile Jacob. 1986 (352 p) • Vincent J.D. Voyage extraordinaire au centre du cerveau. Paris. Odile Jacob. 2007 (460 p) • Vincent L., Où est passé l’amour ? Paris. Odile Jacob. 2007 (204 p) • Zarifian E., Le prix du bienêtre. Paris. Odile Jacob. 1996 (280 p) Brief personal bibliography (in English) • Ginger S.: Gestalt Therapy, The Art of Contact, Karnac Books, London, 2006. Brief personal bibliography (in Spanish) • Ginger S. & A.: La Gestalt, una terapia de contacto, Manual Moderno, Mexico DF, 1993. 8th edition : 2007. • Ginger S.: Gestalt, el arte del contacto, RBA intégral, Barcelona, 2005 • Ginger S.: Psicoterapia: 100 respuestas creativas, Rigden Institut Gestalt, Barcelona, 2008
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